Sleep Quality and its Associated Factors Among Hemodialysis Patients in Selected Dialysis Centres

Ng, Jing Wen (2020) Sleep Quality and its Associated Factors Among Hemodialysis Patients in Selected Dialysis Centres. [Project Paper] (Submitted)

Text FPSK6 2020 26.pdf Download (15MB)

Abstract

There is increasing evidence that poor sleep quality among haemodialysis (HD) patients is prevalent, at which such information is scarce at the local context. This study aimed to determine the prevalence of sleep quality and its associated factors among HD patients. This was a cross-sectional study involved 100 eligible HD patients in central region of Malaysia. Socio-demographic background of patients was obtained through self-administered questionnaire while anthropometric and biochemical parameters were obtained via dialysis record books as secondary data. Malnutrition-inflammation score (MIS), interdialytic weight gain (IDWG), International Physical Activity Questionnaire (IPAQ) and Night Eating Questionnaire (NEQ) were used to access nutritional status, fluid adherence, physical activity level (PAL) and presence of night eating syndrome (NES) of the patients, respectively. IBM SPSS version 25 was used in the statistical analysis with significance level was set at p < 0.05. A majority of the patients were within 55 – 64 years old with unsatisfactory financial status, had hypoalbuminemia, hyperkalemia, hyperphosphatemia and low PAL. Only 20% of the patients had fluid overload while 8% had NES. Double burden malnutrition exists in this study cohort, with approximately 30% and 20% of them were malnourished and obese, respectively. Despite HD patients who are slightly overweight tend to have higher survival rate due to reverse epidemiology, the extremely high prevalent of central obesity (69%) as represented by the excessive waist circumference and the high prevalence of low lean mass (84%) as presented by low grip strength deserves closer monitoring. Approximately 70% of patients were poor sleepers with a total of 60% of them slept less than 6 hours per day. A majority of patients had sleep disturbances, sleep latency and daytime dysfunction. Use of sleep medicine was rare. In general, poor sleep quality was significantly associated with younger age, lower financial status, low waist circumference, high MIS score, long sitting duration, low METs score and NES. Appropriate intervention to improve NES, nutritional status and structured exercise during dialysis may confer benefits to HD patients.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Mr Khoirul Asrimi Md Nor
Date Deposited:	21 Aug 2023 07:47
Last Modified:	21 Aug 2023 07:47
URI:	http://psaspb.upm.edu.my/id/eprint/870

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